PM&R最新文献

{"title":"Self-reported sleep disturbances and its determinants in people 1 year or more after stroke: A cross-sectional study.","authors":"Hanna M Nilsson, Maria Kähler, Lina Rosengren, Lars Jacobsson, Jan Lexell","doi":"10.1002/pmrj.13329","DOIUrl":"10.1002/pmrj.13329","url":null,"abstract":"<p><strong>Background: </strong>Survivors of stroke commonly report sleep disturbances. Studies of sleep disturbances after stroke are mostly performed in the acute phase. An increased knowledge of sleep disturbances and its determinants a longer time after stroke is needed to improve treatment and rehabilitation.</p><p><strong>Objective: </strong>To assess survivors of stroke more than 1 year after stroke onset and (1) investigate self-reported sleep disturbances and (2) explore the association between self-reported sleep disturbances, gender, age, time since stroke, other stroke characteristics, and sociodemographic data.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>Community setting.</p><p><strong>Participants: </strong>Participants (n = 160) in the Life After Stroke In Northern Sweden Study (LASINS) (46% women, mean age 73 years, mean time since stroke 35 months).</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measurements: </strong>Pittsburgh Sleep Quality Index (PSQI), stroke characteristics (time since stroke, first time stroke, type of stroke, location of stroke, stroke treatment and comorbidities) and sociodemographic data (gender, age, marital status, vocational situation, need for home help, and use of mobility devices).</p><p><strong>Results: </strong>A total of 84 participants (53%) rated 6 points or more on the PSQI (mean 6.5 points, SD: ±4.2, min-max 0-18), indicating sleep disturbances. Gender (p = .002) and use of mobility devices (p = .036) explained 9.5% of the variance in PSQI.</p><p><strong>Conclusion: </strong>Survivors of stroke report sleep disturbances even several years after stroke onset. Women and those using mobility devices, indicating less recovery after stroke, report sleep disturbances to a higher degree, regardless of chronological age, time since stroke onset, other stroke characteristics, comorbidities, and sociodemographic data. Further studies with a longitudinal design are needed to gain a comprehensive understanding of how stroke-related factors and other reasons account for poststroke sleep disturbances in order to improve treatment and rehabilitation.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"646-653"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: Letter to the editor on \"A novel (seeding) technique for ultrasound-guided botulinum toxin injections\".","authors":"Kristen A Harris, Steven V Escaldi","doi":"10.1002/pmrj.13369","DOIUrl":"10.1002/pmrj.13369","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"733"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidisciplinary collaborative guidance on the assessment and treatment of patients with Long COVID: A compendium statement.","authors":"Abby L Cheng, Eric Herman, Benjamin Abramoff, Jordan R Anderson, Alba Azola, John M Baratta, Matthew N Bartels, Ratna Bhavaraju-Sanka, Svetlana Blitshteyn, Jeffrey S Fine, Talya K Fleming, Monica Verduzco-Gutierrez, Joseph E Herrera, Rasika Karnik, Monica Kurylo, Michele T Longo, Mark D McCauley, Esther Melamed, Mitchell G Miglis, Jacqueline D Neal, Christina V Oleson, David Putrino, Leslie Rydberg, Julie K Silver, Carmen M Terzic, Jonathan H Whiteson, William N Niehaus","doi":"10.1002/pmrj.13397","DOIUrl":"10.1002/pmrj.13397","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;In 2021, the American Academy of Physical Medicine and Rehabilitation established the Multi-Disciplinary Post-Acute Sequelae of SARS-CoV-2 Infection Collaborative to provide guidance from established Long COVID clinics for the evaluation and management of Long COVID. The collaborative previously published eight Long COVID consensus guidance statements using a primarily symptom-based approach. However, Long COVID symptoms most often do not occur in isolation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;This compendium aims to equip clinicians with an efficient, up-to-date clinical resource for evaluating and managing adults experiencing Long COVID symptoms. The primary intended audience includes physiatrists, primary care physicians, and other clinicians who provide first-line assessment and management of Long COVID symptoms, especially in settings where subspecialty care is not readily available. This compendium provides a holistic framework for assessment and management, symptom-specific considerations, and updates on prevalence, health equity, disability considerations, pathophysiology, and emerging evidence regarding treatments under investigation. Because Long COVID closely resembles other infection-associated chronic conditions (IACCs) such as myalgic encephalomyelitis/chronic fatigue syndrome, the guidance in this compendium may also be helpful for clinicians managing these related conditions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Guidance in this compendium was developed by the collaborative's established modified Delphi approach. The collaborative is a multidisciplinary group whose members include physiatrists, primary care physicians, pulmonologists, cardiologists, psychiatrists, neuropsychologists, neurologists, occupational therapists, physical therapists, speech and language pathologists, patients, and government representatives. Over 40 Long COVID centers are represented in the collaborative.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Long COVID is defined by the National Academies of Sciences, Engineering, and Medicine as \"an IACC that occurs after SARS-CoV-2 infection and is present for at least 3 months as a continuous, relapsing and remitting, or progressive disease state that affects one or more organ systems.\" The current global prevalence of Long COVID is estimated to be 6%. Higher prevalence has been identified among female gender, certain racial and ethnic groups, and individuals who live in nonurban areas. However, anyone can develop Long COVID after being infected with the SARS-CoV-2 virus. Long COVID can present as a wide variety of symptom clusters. The most common symptoms include exaggerated fatigue and diminished energy windows, postexertional malaise (PEM)/postexertional symptom exacerbation (PESE), cognitive impairment (brain fog), dysautonomia, pain/myalgias, and smell and taste alterations. Holistic assessment should include a traditional history, physical examination, and additional diagnostic testing, as indicat","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"684-708"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the impact of Keep Your Move in the Tube (KYMITT) on patient AM-PAC scores and discharge disposition.","authors":"Miriah Mattox, Julie Ennis, Matthew McClain, Jennifer Trinidad, Alexander Bajorek, Tamela Fonseca, Katie West, Tonya King, Rebecca Lazensky","doi":"10.1002/pmrj.13315","DOIUrl":"10.1002/pmrj.13315","url":null,"abstract":"<p><strong>Background: </strong>The Sarasota Memorial Health Care System (SMHCS) Acute Care Rehabilitation Team began implementing the Keep Your Move in the Tube (KYMITT) protocol in February 2023 to improve patient mobility and offer an alternative to traditional sternal precautions. The goal of KYMITT is for patients to remain within a safe zone (referred to as \"the tube\") rather than complying with time and weight restrictions, which are the cornerstone of traditional sternal precautions. In previous studies, KYMITT was associated with greater independence after surgery without placing patients at an increased risk of experiencing a surgical site infection.</p><p><strong>Objective: </strong>To test the hypothesis that KYMITT is associated with greater patient mobility and independence, without increasing the risk of surgical complications.</p><p><strong>Methods: </strong>Researchers at SMHCS analyzed records of 614 open-heart surgery patients (n = 293 in the traditional sternal precautions group and n = 321 in the KYMITT protocol group) to determine the differences in their Activity Measure for Post-Acute Care (AM-PAC) mobility scores.</p><p><strong>Results: </strong>The average last-recorded AM-PAC score for the traditional sternal precautions group was significantly lower than for those receiving the KYMITT protocol (19.2 [95% CI: 18.86-19.62] vs. 20.0 [95% CI: 19.62-20.35], p = .006). For patients with at least two AM-PAC scores recorded, the difference was calculated for each patient's first to last AM-PAC score (AM-PAC delta). There was not a statistically significant difference between groups with an average improvement of 2.7 (95% CI: 2.30-3.09) for the traditional sternal precautions group compared to 3.1 (95% CI: 2.71-3.45) for the KYMITT protocol, p = .16 when comparing average AM-PAC delta.</p><p><strong>Conclusion: </strong>Overall, during the 7 months that KYMITT was conducted hospital-wide, a significant increase in average last-recorded AM-PAC scores was observed month to month (slope = 0.45, 95% CI: 0.27-0.62, p < .001).</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"604-611"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spanish Translated Abstracts.","authors":"","doi":"10.1002/pmrj.13443","DOIUrl":"https://doi.org/10.1002/pmrj.13443","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":"17 6","pages":"736-745"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of functional measures to injury severity in runners with Achilles tendinopathy.","authors":"Linh Pham, Logan W Gaudette, Margaret M Funk, Katie E L Vogel, Michelle M Bruneau, Karin Grävare Silbernagel, Joshua Tam, Adam S Tenforde","doi":"10.1002/pmrj.13314","DOIUrl":"10.1002/pmrj.13314","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"726-729"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of peripheral nerve stimulation in refractory postamputation pain: A narrative review.","authors":"Peter D Vu, Diana Ekechukwu, Ovie Enaohwo, Catherine Nguyen, Dominic Vu, Michael V Nguyen","doi":"10.1002/pmrj.13309","DOIUrl":"10.1002/pmrj.13309","url":null,"abstract":"<p><p>The management of postamputation pain remains a significant clinical challenge, with existing therapeutic approaches often yielding inconsistent outcomes. Neuromodulation techniques, particularly peripheral nerve stimulation (PNS), have emerged as promising interventions. However, the evidence supporting their effectiveness in treating phantom limb pain (PLP) and residual limb pain (RLP) remains limited. This narrative review consolidates previous findings of PNS as a postamputation agent and amasses the most recent data on its effectiveness in clinical settings. A literature review was conducted using MEDLINE via PubMed, EMBASE, and Cochrane Library, yielding 115 references. After removing duplicates and applying inclusion criteria, three studies were included. The studies reviewed demonstrate that PNS can offer varying degrees of sustained pain relief, mood enhancement, reduction in opioid use, and functional improvement. However, discrepancies in study design, patient demographics, devices used, and methodological approaches significantly limit the generalizability and reliability of these findings. Currently, the evidence supporting PNS for the treatment of RLP and PLP is limited, with minimal data affirming its efficacy in alleviating postamputation pain and related symptoms. More studies, especially larger, well-designed comparative and observational studies are needed to extrapolate these conclusions for PNS and postamputation pain.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"718-725"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics, proficiency profile, and specialty perceptions of Peruvian physiatrists: A survey study.","authors":"Roger De la Cerna-Luna, Daniel Fernandez-Guzman, Nives Santayana-Calisaya, Analia Velez de Villa-Velarde, Fernando Ylaquita-Chicata, Nataly Casas-Flores, Carol Valladolid-Evaristo","doi":"10.1002/pmrj.13331","DOIUrl":"10.1002/pmrj.13331","url":null,"abstract":"<p><strong>Background: </strong>Despite the growth of physical medicine and rehabilitation (PM&R) in recent years, the same cannot be said for its workforce conditions. Although various issues regarding the reality of the physiatry workforce have been reported, no studies were found that have evaluated it in Peru.</p><p><strong>Objective: </strong>To assess characteristics, proficiency profile, and specialty perceptions of Peruvian physiatrists.</p><p><strong>Design: </strong>Cross-sectional survey, designed and validated by the Peruvian Society of PM&R.</p><p><strong>Setting: </strong>Online anonymous and voluntary questionnaire.</p><p><strong>Participants: </strong>One hundred five Peruvian physiatrists.</p><p><strong>Interventions: </strong>During August 2023, after approval from the ethics committee, a Google Forms questionnaire was shared with the participants via WhatsApp, providing information about study details. Responses were monitored through direct communication with each participant.</p><p><strong>Main outcome measures: </strong>Twenty-four questions covering sociodemographic data, training-related characteristics, work-related characteristics, proficiency perceptions, and specialty perceptions.</p><p><strong>Results: </strong>Most surveyed physiatrists were females (80%) and completed residency between 2017 and 2022 (46.7%). Only 2.8% had pursued a subspecialty fellowship; 41.9% were involved in teaching and easily found employment after residency. Most worked in the public sector (82.9%) and had a permanent employment status under the 728 regime (33.3%). Most reported having much proficiency (Level 3) in all competency domains. Mastery in ultrasound (US) (10.2%) and electrodiagnostic medicine (EDX) (4.1%) was reported mainly by those completing residency between 2017 and 2022. Only 2.9% reported ability to conduct scientific research. Overall satisfaction with the specialty was high (75.2%).</p><p><strong>Conclusions: </strong>The survey found that most of surveyed Peruvian physiatrists worked in the public sector, had permanent employment status, considered themselves highly proficient in all evaluated domains, reported low mastery in US and EDX, and were very satisfied with the specialty. Given the lack of literature, these findings provide valuable insights for policymakers and educators, highlighting key areas for improving conditions for the physiatry workforce.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"673-683"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lower limb kinematic changes during stair navigation 3 and 5 months after anterior cruciate ligament reconstruction: A longitudinal analysis in real-world settings.","authors":"Tomer Yona, Bezalel Peskin, Arielle G Fischer","doi":"10.1002/pmrj.13342","DOIUrl":"10.1002/pmrj.13342","url":null,"abstract":"<p><strong>Background: </strong>Despite advancements in anterior cruciate ligament reconstruction (ACLR), achieving symmetrical movement patterns during stair negotiation remains challenging. Therefore, this study examines lower limb kinematics during stair ambulation at the early and mid-rehabilitation stages after ACLR in a real-world environment.</p><p><strong>Objective: </strong>To describe lower limb kinematics during stair ambulation at 3 and 5 months after ACLR and evaluate changes between these time points. We hypothesized that between-limb asymmetries would improve over this period.</p><p><strong>Design: </strong>Longitudinal study.</p><p><strong>Participants: </strong>Twenty-seven patients 3 months post ACLR were recruited, and 18 were followed up at 5 months post ACLR. Surgeries were performed by one of five surgeons using various grafts (hamstrings, bone-patellar tendon-bone, or quadriceps). Exclusion criteria were multiligament injuries, major meniscus injuries, other concomitant injuries, or previous knee surgeries. An additional group of matched healthy controls (n = 16) was also recruited.</p><p><strong>Setting: </strong>Public health care campus.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>Maximum and minimum joint angles, and continuous kinematic patterns during stair ascent and descent were measured on a 20-step staircase at self-selected speed using seven inertial measurement units, with sagittal knee kinematics as the main outcome and hip and ankle kinematics as secondary outcomes. Between-limb differences and longitudinal changes were analyzed using discrete points and statistical parametric mapping.</p><p><strong>Results: </strong>At 3 months after ACLR, the injured knee was less flexed compared to the contralateral knee during stair ascent (mean difference = -11.3°, confidence interval [CI, -14.4 to -8.1], p < .001) and descent (mean difference = -6.3°, CI [-10.2 to -2.4], p = .002). Statistical parametric mapping analysis showed decreased flexion at 0%-35% and 87%-99% of the stair ascent cycle (p < .005). By 5 months, flexion differences during ascent improved (mean difference = -4.7°, CI [-8.1 to -1.4], p = .008), but asymmetry persisted, with decreased flexion at 10%-32% of the cycle during ascent and 20%-29% during descent (p < .017). Flexion improvements were observed from 3 to 5 months during ascent (mean increase = 6.1°, p < .001) and descent (mean increase = 9.3°, p = .004).</p><p><strong>Conclusions: </strong>Persistent lower limb kinematic asymmetries remain 5 months after ACLR during stair ambulation.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"663-672"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of race on discharge location for stroke survivors: Associations with home discharge from a retrospective analysis.","authors":"Lindsay Bright, Carolyn M Baum, Pamela Roberts","doi":"10.1002/pmrj.13303","DOIUrl":"10.1002/pmrj.13303","url":null,"abstract":"<p><strong>Background: </strong>White stroke survivors often experience better outcome compared to their counterparts. Poststroke discharge location influences the subsequent rehabilitation that can support recovery and improve outcomes. However, few studies have looked at the association of race and discharge to home.</p><p><strong>Objective: </strong>To investigate the association between demographic and clinical characteristics of stroke survivors and their discharge location.</p><p><strong>Design: </strong>Retrospective cohort.</p><p><strong>Setting: </strong>Large, urban, academic medical center.</p><p><strong>Patients: </strong>A total of 4633 stroke survivors admitted to the hospital with an acute onset diagnosis of ischemic stroke, hemorrhagic stroke, or transient ischemic attack between January 1, 2015 and April 30, 2023.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measure: </strong>Discharge location as reported in the electronic health record. The Social Vulnerability Index was used to examine the association between social vulnerability and discharge location from the hospital.</p><p><strong>Secondary outcome measure: </strong>Demographic and clinical characteristics of routine clinical care.</p><p><strong>Results: </strong>The majority of participants were White (62.1%), followed by Black (21.6%). Most patients were discharged home from the hospital (58.5%). White patients had the highest percentage of transient ischemic attacks (24.4%), lowest scores on the National Institutes of Health Stroke Scale, (4.5), shortest lengths of stay (6.5 days), highest percentage of patients with no symptoms on the modified Rankin Scale (10.7%), and highest rates of home discharge (63.4%). Black stroke survivors had the highest rates of skilled nursing facility discharges (15.6%). Compared to White patients and patients of all other races, Black patients had a 27% lower odds of discharging home (odds ratio = 0.73, p = .001). Patients with higher levels of vulnerability in housing type and transportation had 35% lower odds of being discharged home compared to those with lower scores (odds ratio = 0.65, p = .002).</p><p><strong>Conclusions: </strong>Racial differences in stroke outcomes and home discharge were observed between stroke survivors in this study, emphasizing the importance of addressing these disparities in order to promote equitable health care delivery and optimal outcomes.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"638-645"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}